Medical Coding Specialist — CPT, Audits & Denials

Vance Thompson Vision; Sioux Falls (SD); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Shoe allowance

Education Allowance

Wellness Program

Job summary

Vance Thompson Vision is seeking a Coding Specialist to join our team in Sioux Falls, SD. You will review coding from the electronic health record system for clinic and surgical claims to ensure accuracy and completeness, while guiding clinical staff on proper documentation.

The role requires an associates degree in Health Information Management, a minimum of two years in medical coding, and CPC certification is preferred. Join a team committed to excellence and patient care.

Qualifications

• Associates degree in Health Information Management or related field.
• Minimum two years in medical coding or equivalent work.
• Certified Professional Coder (CPC) certification preferred.

Responsibilities

• Review coding from the electronic health record system for clinic and surgical claims to ensure accuracy, completeness and appropriateness of diagnosis and procedure codes.
• Evaluate surgery schedules, coding them, and billing to appropriate insurance.
• Review different reports and completing monthly audits for all clinics.
• Answer daily incoming patient/internal phone calls and emails coming to the business office.
• Review provider medical records to ensure compliance with established CMS/AMA documentation requirements for CPT and NCCI edits.
• Review insurance denials for possible coding corrections and claims resubmissions.
• Communicate coding and billing-specific deficiencies to various clinical staff.
• Educate and guide clinical staff on proper documentation and any trends that could cause delay of claim submission.

Skills

Detail-oriented

Learn quickly

Flexible

Education

Associate degree in Health Information Management

Job description

Vance Thompson Vision is seeking a Coding Specialist to join our team in Sioux Falls, SD. You will review coding from the electronic health record system for clinic and surgical claims to ensure accuracy and completeness, while guiding clinical staff on proper documentation.

The role requires an associates degree in Health Information Management, a minimum of two years in medical coding, and CPC certification is preferred. Join a team committed to excellence and patient care.